<div class="contact_form fleft" style="width: auto;">
    <div class="form_detail form">
        <h3 class="title">Gửi ý kiến phản hồi</h3>
        <div class="content">
            <?php echo $this->load->view('powercms/message'); ?>
            <div class="clear"></div>
            <div class="content_detail">
                <?php echo form_open(get_url_by_lang(switch_language($this->uri->segment(1)), 'send-testimonial')); ?>     
                    <table style="float: left;padding-bottom: 10px;width: 100%;" class="table">
                        <tbody>
                            <tr>
                                <td class="right bold"><?php echo __("IP_fullname"); ?> : </td>
                                <td><input type="text" style="width: 300px;" maxlength="30" value="" name="name"> <span>*</span></td>
                            </tr>
                            <tr>
                                <td style="vertical-align: top" class="right bold"><?php echo __("IP_content"); ?> : </td>
                                <td><textarea style="height: 150px; width: 375px;" rows="10" cols="40" name="content"></textarea> </td>
                            </tr>
                            <tr>
                                <td class="right bold"><?php echo __("IP_capcha"); ?> : </td>
                                <td><input type="text" maxlength="10" size="35" value="" name="security_code"> <span>*</span>
                                    <br><img src="/security_code" style="margin-left: 5px;margin-top: 5px;width: auto;"></td>
                            </tr>
                            <tr>
                                <td colspan="2">
                                    <input type="submit" value="Gửi ý kiến phản hồi" class="input_button blue_gradient">
                                </td>
                            </tr>
                        </tbody>
                    </table>
                <?php echo form_close(); ?>
            </div>
        </div>
    </div>
</div>